MR. MICHAEL ANTHONY DISIMONE (MPH, MPAS, PA-C) – Physician Assistant, NPI 1104801497
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
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Provider Addresses for MR. MICHAEL ANTHONY DISIMONE (MPH, MPAS, PA-C)
10805, Cedar Creek Drive, Spotsylvania County, Virginia, 22551, United States
SPOTSYLVANIA, VA 225514689
Phone: (540) 412-9558
Type: Mailing
Fredericksburg, 200, Lafayette Boulevard, Hazel Hill, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 224084130
Phone: (540) 371-7118
Fax: (540) 371-3248
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 161 Open Payments records for all available years, with a total value of $3,518.
Total Amount is formed as General ($3,518) + Research ($0) + Ownership ($0) = $3,518.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($983).
Total Amount
$3,518
General + Research + Ownership
Payments
161
Total payment records
General Amount
$3,518
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $983 |
| Regeneron Healthcare Solutions, Inc. | $416 |
| Janssen Biotech, Inc. | $287 |
| Lilly USA, LLC | $277 |
| GENZYME CORPORATION | $179 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
2
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080702000558 | I | Physician Assistant | VA | 2023-08-31 |
| I20190225003134 | I | Physician Assistant | DC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 986 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 496 | 447 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 240 | 224 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 239 | 228 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 149 | 149 | $0 |
Insurance plans in this area (ZIP 22551)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VA | 17003 | Destruction of 2-14 skin growths | 950 | 149 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Dermatology, Pathology | VA | |
| Physician Assistant | MN | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | MN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IL |
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